St Paul Wellness Center | |
45 10th St W Saint Paul MN 55102-1062 | |
(651) 602-7500 | |
(651) 222-1305 |
Full Name | St Paul Wellness Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 45 10th St W, Saint Paul, Minnesota |
Authorized Official Name and Position | Reuben Moore (CEO) |
Authorized Official Contact | 6516027500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Paul Wellness Center 153 Cesar Chavez St Saint Paul MN 55107-2226 Ph: (651) 602-7500 | St Paul Wellness Center 45 10th St W Saint Paul MN 55102-1062 Ph: (651) 602-7500 |
NPI Number | 1982346409 |
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Provider Enumeration Date | 04/13/2022 |
Last Update Date | 05/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982346409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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